To the Editor;—In your editorial of to-day's issue of The Journal on "Instruction in Psychiatry," you failed to make any mention of the instruction which has been given for a number of years past in the Jefferson Medical College of Philadelphia. In the session of 1897-98 a systematic course, clinical and didactic, was given by myself, extending over the college term, beginning in the fall and continuing until the close of the college session; this course was voluntary. In the following year, that is in the session of 1898-99, attendance on these lectures became obligatory. In 1900 neurology and psychiatry were elevated to the position of a major branch, and an examination was required at the end of the session. The instruction is both didactic and clinical, the large number of cases in the insane department of the Philadelphia Hospital yielding abundant material for the